--- title: "Eval 2 interv enhance pt-MD comm, using OPTION5 measure. | Sutter Health" description: "Results suggest targeting patient and physician behaviors promotes SDM better than patient activation only. Improving SDM for less educated patients is crucial." url: "https://www.sutterhealth.org/research/publications/eval-2-interv-enhance-pt-md-comm-option5-measure-1055312393" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Eval 2 interv enhance pt-MD comm, using OPTION5 measure. # An evaluation of two interventions to enhance patient-physician communication using the observer OPTION5 measure of shared decision making. Dillon EC, Stults CD, Wilson C, Chuang J, Meehan A, Li M, Elwyn G, Frosch DL, Yu E, & Tai-Seale M. _Patient Educ Couns. pii: S0738-3991(17)30254-9. doi: 10.1016/j.pec.2017.04.020. \[Epub ahead of print\]_ 2017-05-01 ## Abstract OBJECTIVE: Evaluate interventions to enhance patient-physician communication and shared decision making (SDM). METHODS: We used Observer OPTION5 to evaluate primary care visits within a cluster randomized controlled trial in a California delivery organization. Trial interventions included Open Communication (OpenComm), combining patient activation and physician coaching, and AskShareKnow, a patient activation tool, and were compared to a usual care arm. Scores were analyzed with descriptive statistics and generalized estimating equation analysis for 40 visits containing 200 decision topics. RESULTS: The mean overall OPTION5 score was 26.5 out of 100 (s.d.=15.2). Compared to visits in the usual care arm, OpenComm visits had higher mean item scores (0-4 scale) for eliciting (mean=1.0 vs 0.8) and integrating patient preferences (mean=1.0 vs 0.8). OpenComm and AskShareKnow visits had higher scores for presenting options (mean=1.5, 1.5 vs 1.3). AskShareKnow visits had higher scores for discussing pros/cons (mean=1.5 vs 1.1). Lower patient education attainment was associated with lower scores. CONCLUSIONS: OpenComm and AskShareKnow were associated with improved SDM relative to usual care. PRACTICE IMPLICATIONS: Results suggest targeting patient and physician behaviors promotes SDM better than patient activation only. Improving SDM for less educated patients is crucial. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/28532861) ![Cheryl Stults, Ph.D.](https://dyn.mktgcdn.com/p/3IhveEwq-t5WoqAzSNGeAr-4g4yrj4v7x1QcPGdCX_s/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Cheryl Stults, Ph.D. Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/cheryl-stults-phd-1049681000) ## Research topics - [Health Disparities](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Disparities%5C%22%22) - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Does this doctor speak my language? Improving the characterization of physician non-English language skills.](https://www.sutterhealth.org/research/publications/improve-characterization-of-md-non-english-skills-1055312681) Diamond LC, Luft HS, Chung S, Jacobs EA. Health Serv Res. 47(1 Pt 2):556-69. doi: 10.1111/j.1475-6773.2011.01338 2012 Feb 01 - Publication ### [Factors associated with accuracy of self-assessment compared with tested non-English language proficiency among primary care providers.](https://www.sutterhealth.org/research/publications/mds-non-english-lang-proficiency-self-vs-tested-assessmt-1055312513) Diamond L, Toro Bejarano M, Chung S, Ferguson W, Gonzalez J, Genoff Garzon M, Mujawar I, Gany F. Med Care. doi: 10.1097/MLR.0000000000001105. \[Epub ahead of print\] 2019 Mar 05 - Publication ### [R-E-S-P-E-C-T--what it means to patients.](https://www.sutterhealth.org/research/publications/r-e-s-p-e-c-t-what-it-means-to-patients-1055312647) Frosch DL, Tai-Seale M. J Gen Intern Med. 29(3):427-8. doi: 10.1007/s11606-013-2710-z. 2014 Mar 01 - Publication ### [How good is "very good"? Translation effect in the racial/ethnic variation in self-rated health status.](https://www.sutterhealth.org/research/publications/racial-variation-in-self-rated-health-status-1055312900) Seo S, Chung S, Shumway M. Qual Life Res. 23(2):593-600. doi: 10.1007/s11136-013-0522-6. Epub 2013 Sep 13. 2014 Mar 01 - Publication ### [Clocks moving at different speeds: cultural variation in the satisfaction with wait time for outpatient care.](https://www.sutterhealth.org/research/publications/cultural-variation-satisfaction-outpt-wait-time-1055312330) Chung S, Johns N, Zhao B, Romanelli R, Pu J, Palaniappan LP, Luft H. Med Care. 2015 Dec 17. \[Epub ahead of print\] 2015 Dec 17 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/eval-2-interv-enhance-pt-md-comm-option5-measure-1055312393#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Eval 2 interv enhance pt-MD comm, using OPTION5 measure."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/eval-2-interv-enhance-pt-md-comm-option5-measure-1055312393#medicalscholarlyarticle","name":"An evaluation of two interventions to enhance patient-physician communication using the observer OPTION5 measure of shared decision making.","headline":"Eval 2 interv enhance pt-MD comm, using OPTION5 measure.","abstract":"OBJECTIVE: Evaluate interventions to enhance patient-physician communication and shared decision making (SDM). METHODS: We used Observer OPTION5 to evaluate primary care visits within a cluster randomized controlled trial in a California delivery organization. Trial interventions included Open Communication (OpenComm), combining patient activation and physician coaching, and AskShareKnow, a patient activation tool, and were compared to a usual care arm. Scores were analyzed with descriptive statistics and generalized estimating equation analysis for 40 visits containing 200 decision topics. RESULTS: The mean overall OPTION5 score was 26.5 out of 100 (s.d.=15.2). Compared to visits in the usual care arm, OpenComm visits had higher mean item scores (0-4 scale) for eliciting (mean=1.0 vs 0.8) and integrating patient preferences (mean=1.0 vs 0.8). OpenComm and AskShareKnow visits had higher scores for presenting options (mean=1.5, 1.5 vs 1.3). AskShareKnow visits had higher scores for discussing pros/cons (mean=1.5 vs 1.1). Lower patient education attainment was associated with lower scores. CONCLUSIONS: OpenComm and AskShareKnow were associated with improved SDM relative to usual care. PRACTICE IMPLICATIONS: Results suggest targeting patient and physician behaviors promotes SDM better than patient activation only. Improving SDM for less educated patients is crucial.","description":"Results suggest targeting patient and physician behaviors promotes SDM better than patient activation only. 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